2017 Medicare Advantage HumanaChoice H1510-001 (PPO)

HumanaChoice H1510-001 (PPO) H1510-001 is a 2017 Medicare Advantage or Medicare Part-C plan by Humana Insurance Company available to residents in Indiana. This plan includes additional Medicare prescription drug (Part-D) coverage. The HumanaChoice H1510-001 (PPO) has a monthly premium of $55.00 and has a in-network Maximum Out-of-Pocket limit of $6,700 (MOOP). This means that if you get sick or need a high cost procedure your co-pays are capped once you pay out of pocket $6,700 this can be a very nice safety net.

HumanaChoice H1510-001 (PPO) is a Local PPO. A preferred provider organization (PPO) is a medicare plan that has created contracts with a network of "preferred" providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.

Humana Insurance Company works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for HumanaChoice H1510-001 (PPO) you still retain Original Medicare. But you will get additional Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from Humana Insurance Company and not Original Medicare. With Medicare Advantage your always covered for urgently needed and emergency care and you receive all of the benefits of Original Medicare from Humana Insurance Company except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.

COMPARE AND SAVE ON MEDICARE INSURANCE

2017 Humana Insurance Company Medicare Advantage Plan Details

Name:

HumanaChoice H1510-001 (PPO)

ID:

H1510-001

Provider:

Humana Insurance Company

Year:

2017

Type:

Local PPO

Monthly Premium C+D:

$55.00

MOOP:

$6,700

Ratings for HumanaChoice H1510-001 (PPO) H1510

2017 Overall Rating

Part C Summary Rating

Part D Summary Rating

Staying Healthy: Screenings, Tests, Vaccines

Managing Chronic (Long Term) Conditions

Member Experience with Health Plan

Complaints and Changes in Plans Performance

Health Plan Customer Service

Drug Plan Customer Service

Complaints and Changes in the Drug Plan

Member Experience with the Drug Plan

Drug Safety and Accuracy of Drug Pricing

Member Experience with Health Plan

Total Experience Rating

Getting Needed Care

Timely Care and Appointments

Customer Service

Health Care Quality

Rating of Health Plan

Care Coordination

Member Complaints and Changes in HumanaChoice H1510-001 (PPO) Plans Performance

Total Rating

Members Leaving the Plan

Complaints about Health Plan

Beneficiary Access

Health Plan Quality Improvement

Health Plan Customer Service Rating for HumanaChoice H1510-001 (PPO)

Total Customer Service Rating

Timely Decisions About Appeals

Reviewing Appeals Decisions

Call Center, TTY, Foreign Language

Staying Healthy, Screening, Testing, & Vaccines

Total Preventative Rating

Breast Cancer Screening

Colorectal Cancel Screening

Annual Flu Vaccine

Improving Physical

Improving Mental Health

Monitoring Physical Activity

Adult BMI Assessment

Managing Chronic And Long Term Care for Older Adults

Total Rating

SNP Care Management

Medication Review

Functional Status Assessment

Pain Screening

Osteoporosis Management

Diabetes Care - Eye Exam

Diabetes Care - Kidney Disease

Diabetes Care - Blood Sugar

Controlling Blood Pressure

Rheumatoid Arthritis

Improving Bladder Control

Reducing Risk of Falling

Plan - Cause Readmissions

Member Experience with the Drug Plan

Total Rating

Rating of Drug Plan

Getting Needed Prescription Drugs

Drug Safety and Accuracy of Drug Pricing

Total Rating

MPF Price Accuracy

High Risk Medication

Drug Adherence for Diabetes Medications

Drug Adherence for Hypertension (RAS antagonists)

Drug Adherence for Cholesterol (Statins)

MTM Program Completion Rate for CMR

Ratings For Member Complaints and Changes in the Drug Plans Performance

Total Rating

Complaints about the Drug Plan

Members Choosing to Leave the Plan

Beneficiary Access

Drug Plan Quality Improvement

HumanaChoice H1510-001 (PPO) Drug Plan Customer Service ratings

Total Rating

Appeals Auto Forward

Appeals Upheld

Call Center, TTY, Foreign Language

Part-C Premium

Humana Insurance Company plan charges a $19.60 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.

Part-D Deductible and Premium

HumanaChoice H1510-001 (PPO) has a monthly drug premium of $35.40 and a $400.00 drug deductible. This Humana Insurance Company plan offers a $35.40 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by Humana Insurance Company above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $35.40. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.

Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The HumanaChoice H1510-001 (PPO) medicare insurance offers a $3.30 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $11.40 for 75% low income subsidy $19.40 for 50% and $27.40 for 25%.

Part C Premium:

$19.60

Part D (Drug) Premium:

$35.40

Part D Supplemental Premium

$0.00

Total Part D Premium:

$35.40

Drug Deductible:

$400.00

Tiers with No Deductible:

1

Benchmark:

not below the regional benchmark

Type of Medicare Health:

Enhanced Alternative

Drug Benefit Type:

Enhanced

Full LIS Premium:

$3.30

75% LIS Premium:

$11.40

50% LIS Premium:

$19.40

25% LIS Premium:

$27.40

Initial Coverage Limit:

$3700

Gap Coverage:

Yes

Gap Coverage

In 2017 once you and your plan provider have spent $3700 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be required to pay 40% for brand-name drugs and 51% on generic drugs unless your plan offers additional coverage. This Humana Insurance Company plan does offer additional coverage through the gap.

Notes: Data are subject to change as contracts are finalized. For 2017, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit

Includes 2017 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.